Re: Within or outside the standard of care - Long

From: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk)
Tue May 29 02:37:59 2001


I believe that betty has been on & off this list for a number of years - she's been quiet recently!

-----Original Message----- From: Paul Prior MD [mailto:pprior@clover.net] Sent: 29 May 2001 05:52 To: Multiple recipients of list OB-GYN-L Subject: Re: Within or outside the standard of care - Long

On Mon, 28 May 2001 22:45:14 -0500, brommel@mindspring.com (Betty Rommel, MD, PhD) wrote:

>Do you really believe your own propaganda? or are you attempting to
>justify your own un-indicated interventions? Your job is to deliver
>babies, happiness is a common side-effect.

Betty - I believe you are a newbie to this list. I haven't seen any posts from you before you cracked about another physician's spelling earlier. As such, I'm a bit surprised at your absolute lack of manners. Just because you have a dual degree doesn't mean you get to be twice as annoying as everyone else.

It is not your place to tell me what my "job" is. And your word choice ("propaganda") not only silly, it is outright offensive.

And to further point out what an ass you are making of yourself, I have a very low induction rate - I would be willing to make a bet that it's probably less than yours. I was merely pointing out that the practice dynamics are different in different care delivery situations. Perhaps you might enlighten us as to your practice experience - ever been outside a tertiary care center?

>It's enlightening to see how quickly the modern doctor-patient bond
>dissolves when her insurance changes and she seeks out the next
>most-convenient-doc-on-the-list instead of sticking it out with her
>cherished solo practitioner. She probably holds you in the same esteem
>as her garage door opener - convenient, but not essential.

Indeed it is discouraging to see how quickly people will switch care, but that doesn't negate the visits I get to my office when people are "ob shopping" and they tell me to my face on our first meeting how much they hated the last group practice they were at because of the "lottery" at time of delivery. I actually relate to patients the pluses and minuses of group vs. solo practice, as I've been in both. There clearly are benefits of each, but your self-righteous tone indicates you probably haven't had much objectivity in your assement of the "cherished" solo doc.

>If convenience is what you & your patients truly seek, then tap &
>section 'em all on your lunch break instead of wasting everyone's time
>and resources for a game plan that boasts a 25%+ failure rate.

I'll say it plainly - either learn some manners, or why don't you move on elsewhere.

--
Paul Prior MD   They that can give up essential liberty to obtain a little
Coshocton, OH   temporary safety deserve neither liberty nor safety.
Solo Practice           - Benjamin Franklin, 1759.
OB/GYN, FACOG

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